Supermaximal recession and resection in large-angle sensory exotropia
- Abstract
- In cases of extropia with an exodeviation angle over 50 prism diopter (PD), a 3- or 4-muscle surgery is a rational option. But, in patients with sensory exotropia, there is usually a strong preference for a monocular procedure to avoid surgery on the single seeing eye. Thus, we confined surgery to visually poor eyes, and performed a medial rectus muscle resection with a mean of 10.3 mm (range, 9-11 mm) and a lateral rectus muscle recession with a mean of 12.8 mm (range, 10-14 mm) in 4 adult sensory exotropia patients who had a mean deviation of 82.3 PD (range, 75-90 PD). The mean postoperative angle of exodeviation was 2.0 PD (range, ortho-8 PD). The limitation on abduction was not disfiguring. Other expected disfigurements, such as narrowing of the palpebral fissure or enophthalmos, were not conspicuous. The mean follow-up period was 4.5 months (range, 3-7 months). In large-angle sensory exotropia, instead of additive surgery on the seeing eye, supermaximal medial rectus resection and lateral rectus recession only on the visually poor eye is a clinically feasible surgical option.
- All Author(s)
- J. H. Chang
; H. D. Kim
; J. B. Lee
; S. H. Han
- Issued Date
- 2011
- Type
- Article
- Keyword
- Large sensory exotropia; Recession and resection; Supermaximal
- Publisher
- 대한안과학회
the Korean Ophthalmological Society
- ISSN
- 1011-8942
; 2092-9382
- Citation Title
- Korean Journal of Ophthalmology
- Citation Volume
- 25
- Citation Number
- 2
- Citation Start Page
- 139
- Citation End Page
- 141
- Language(ISO)
- eng
- DOI
- 10.3341/kjo.2011.25.2.139
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2932
- 공개 및 라이선스
-
- 파일 목록
-
Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.